CTR056717_Award_Documents.docx.pdf

Our True North: Safely Home

ARIZONA DEPARTMENT OF TRANSPORTATION

1655 W. Jackson St. | MD 100P | Phoenix, AZ 85007 | azdot.gov

Rev. 08/2023

Procurement Katie Hobbs, Governor Jennifer Toth, Director

September 27, 2023

Reggie Chandra Chief Executive Officer Rhythm Engineering 14019 W. 95th St Lenexa, KS 66215

Subject: Award of Contract No. CTR066856

Dear Mr. Chandra:

Please be advised that your company has been awarded the contract for InSync Adaptive Control System Technical Support, Replacement Parts as specified in solicitation CTR066856. The executed Offer and Acceptance is attached. The contract is effective September 27, 2023.

The Contract requires verification of insurance be provided prior to commencement of work. Therefore, insurance document(s) must be submitted in accordance with the requirement Special Terms and Conditions, paragraph 21.1, Insurance Requirements. I have received the Certificate of Insurance however I also need copies of all endorsements as indicated on the attached list.

The attached Contract Insurance Checklist is provided to help ensure that all required forms and endorsements are submitted. The required forms, endorsements and completed checklist must be received no later than October 2, 2023. These documents must be e-mailed to me at afields@azdot.gov.

If you have any questions regarding this contract, please contact me at (602) 712- 8545 or via email.

Sincerely, Aimee Fields Procurement Officer

Cc: File

Enclosures (1)

Rev. 08/2023

Risk Management

ADOT PROCUREMENT CONTRACT INSURANCE CHECKLIST

Instructions: This checklist is a tool provided to assist in expediting the review of the required insurance documents as outlined in the Special Terms and Conditions of your contract. This checklist is intended to clearly outline the required insurance documents that need to be added to your contract before orders can be placed. It is recommended that you provide this checklist and a copy of your ADOT contract to your insurance broker or agent. After your insurance broker or agent provides the required items identified below, check for each document. Once this is completed, forward this checklist and the required documents to the Procurement Officer as indicated in your award letter.

Required Description of Insurance Requirement Included

Certificate of Insurance

Certificate of Insurance to include:

Certificate Holder to read: The State of Arizona/ADOT, 206 S. 17th Ave, Phoenix, AZ 85007

Description of Operations: Must state that the insurance applies to any and all work performed for or on behalf of the State of Arizona/ADOT

General Liability Additional Insured Endorsement for Ongoing Operations Additional Insured Endorsement for Completed Operations (Construction only) Waiver of Subrogation Endorsement or Policy Verbiage Primary and Noncontributory Endorsement

Auto Liability Additional Insured Endorsement Waiver of Subrogation Endorsement Coverage provided for hazardous material transportation (if applicable)

Waiver of Subrogation Endorsement

Professional Liability (if applicable) Policy limit meets contract requirements

(if applicable) Includes coverage for pollution losses arising out of completed operations Additional Insured Endorsement Waiver of Subrogation Endorsement Primary and Noncontributory Endorsement

Professional Environmental Liability (if applicable) Policy limit meets contract requirements

Other Required Insurance (if applicable) Technology Errors and Omissions (no endorsements required) Network Security (Cyber) and Privacy Liability (additional insured, waiver of subrogation, primary and noncontributory endorsements are required)

Media Liability Coverage (no endorsements required) Commercial Crime Policy or Blanket Fidelity Bond (loss payee endorsement is required) Aviation/Aircraft Liability (endorsements to be determined by ADOT Risk as applicable) Installation Floater (additional insured, loss payee, waiver of subrogation, primary and noncontributory endorsements are required)

(additional insured, loss payee, and waiver of subrogation endorsements are required)

Other:__________________________________

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